Organization Active NPI

Win Myint MD PC

  • Internal Medicine Physician
  • Oak Lawn, IL
National Provider Identifier
1154376564
Registry record updated Sep 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
WIN MYINT MD PC
Practice address
4936 W 95TH St
Oak Lawn, IL 60453-2504
Phone
(708) 424-3088
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Win Myint, MDNPI 1063412062
Title
Owner / Physician
Phone
(708) 424-3088

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

4936 W 95TH St
Oak Lawn, IL 60453-2504

Mailing address

4936 W 95TH St
Oak Lawn, IL 60453-2504

Other identifiers 1

IdentifierTypeStateIssuer
0001632470OtherILBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071026000643 IL Part B Supplier - Clinic/Group Practice 6608963392 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Lawn, IL

National Provider Directory

National Provider Directory

Locations

4700 W 95th St
Ste 207
Oak Lawn, IL 60453
Phone (708) 424-3088

4936 W 95th St
Oak Lawn, IL 60453
Phone (708) 424-3088

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFBBCA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283299200000",
    "number": "1154376564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4936 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4936 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532504",
            "telephone_number": "708-424-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIN MYINT MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2010-09-01",
        "status": "A",
        "authorized_official_last_name": "MYINT",
        "authorized_official_first_name": "WIN",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "708-424-3088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001632470",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.